Clinical Inquiries, 2015The items in this collection constitute volume 64 of Clinical Inquiries.https://hdl.handle.net/10355/448742024-03-29T05:29:34Z2024-03-29T05:29:34ZAre inhaled steroids effective for a postviral cough?Insel, KimberlyLyon, Coreyhttps://hdl.handle.net/10355/451932021-10-18T15:27:32Z2015-01-01T00:00:00ZAre inhaled steroids effective for a postviral cough?
Insel, Kimberly; Lyon, Corey
Q: Are inhaled steroids effective for a postviral cough? Evidence-based answer: No. Inhaled corticosteroids (ICS) don't improve postviral cough in adults with subacute (3-8 weeks) or chronic (>8 weeks) cough, adolescents with a history of asthma but without recent asthma activity, or children with a history of episodic viral wheezing without asthma (strength of recommendation [SOR]: B, preponderance of small randomized controlled trials [RCTs]).
2015-01-01T00:00:00ZAre inhaled steroids effective for a postviral cough?Insel, KimberlyLyon, Coreyhttps://hdl.handle.net/10355/450812021-10-18T15:27:33Z2015-01-01T00:00:00ZAre inhaled steroids effective for a postviral cough?
Insel, Kimberly; Lyon, Corey
Q: Are inhaled steroids effective for a postviral cough? Evidence-based answer: No. Inhaled corticosteroids (ICS) don't improve postviral cough in adults with subacute (3-8 weeks) or chronic (>8 weeks) cough, adolescents with a history of asthma but without recent asthma activity, or children with a history of episodic viral wheezing without asthma (strength of recommendation [SOR]: B, preponderance of small randomized controlled trials [RCTs]).
2015-01-01T00:00:00ZDo annual pelvic exams benefit asymptomatic women who receive regular Pap smears?Gold, ErinGuthmann, Richard A.Plonka, Catherinehttps://hdl.handle.net/10355/448752021-10-18T15:27:33Z2015-01-01T00:00:00ZDo annual pelvic exams benefit asymptomatic women who receive regular Pap smears?
Gold, Erin; Guthmann, Richard A.; Plonka, Catherine
Q: Do annual pelvic exams benefit asymptomatic women who receive regular Pap smears? Evidence-based answer: No evidence exists to support a clinical benefit from annual pelvic examinations for asymptomatic women who receive Pap smears every 3 to 5 years. However, the American College of Obstetricians and Gynecologists (ACOG) committee on gynecologic practice recommends annual pelvic exams (strength of recommendation [SOR]: C, expert opinion). Urine testing alone reliably diagnoses gonorrhea and chlamydia (SOR: A, systematic review of cohort studies). Pelvic examinations unreliably detect adnexal masses (SOR: B, single cohort study); pelvic exams accompanied by ultrasound fail to affect outcomes in ovarian cancer screening (SOR: B, cohort studies). Pelvic exams aren't necessary before prescribing oral contraceptive pills (OCPs) (SOR: C, expert opinion). Vulvar carcinoma has a low prevalence and is usually symptomatic ((SOR: B, ecologic study and a case series).
2015-01-01T00:00:00ZDo statins increase the risk of developing diabetes?Parker, KristinDohr, KarenNeher, Jon O.Kelsberg, GarySt. Anna, Leilanihttps://hdl.handle.net/10355/459502021-10-18T15:27:32Z2015-01-01T00:00:00ZDo statins increase the risk of developing diabetes?
Parker, Kristin; Dohr, Karen; Neher, Jon O.; Kelsberg, Gary; St. Anna, Leilani
Q: Do statins increase the risk of developing diabetes? A: Yes. Statin therapy produces a small increase in the incidence of diabetes: one additional case per 255 patients taking statins over 4 years (strength of recommendation [SOR]: A, meta-analysis). Intensive statin therapy, compared with moderate therapy, produces an additional 2 cases of diabetes per 1000 patient years (SOR: B, meta-analysis with significant heterogeneity among trials).
2015-01-01T00:00:00Z